Placement of a catheter through the struts of a previously placed stent for maintenance hemodialysis: a case report.

Venous accesses for hemodialysis are beset with thrombosis and stenosis, often resulting in loss of central venous access. We report a case in which an alternate access was created by placement of hemodialysis catheter into the central vasculature by penetrating a stent previously placed in the stenosed right brachio-cephalic vein. To our knowledge, this is the first such report.